Surgical Telementoring in Knowledge Translation—Clinical Outcomes and Educational Benefits
2012; SAGE Publishing; Volume: 20; Issue: 3 Linguagem: Inglês
10.1177/1553350612465793
ISSN1553-3514
AutoresKnut Magne Augestad, Johan Gustav Bellika, Andrius Budrionis, Taridzo Chomutare, Rolv‐Ole Lindsetmo, Hiten Patel, Conor P. Delaney, Knut Magne Augestad, Andrius Budrionis, Taridzo Chomutare, Johan Gustav Bellika, R. O. Lindsetmo, Gunnar Hartvigsen, Per Hasvold, Richard Wootton, Stig Müller, Hiten Patel, Conor P. Delaney, Alexander Horsch, Kim Erlend Mortensen, Sture Pettersen,
Tópico(s)Abdominal Surgery and Complications
ResumoSurgical telementoring has been reported for decades. However, there exists limited evidence of clinical outcome and educational benefits.To perform a comprehensive review of surgical telementoring surveys published in the past 2 decades.Of 624 primary identified articles, 34 articles were reviewed. A total of 433 surgical procedures were performed by 180 surgeons. Most common telementored procedures were laparoscopic cholecystectomy (57 cases, 13%), endovascular treatment of aortic aneurysm (48 cases, 11%), laparoscopic colectomy (32 cases, 7%), and nefrectomies (41 cases, 9%). In all, 167 (38%) cases had a laparoscopic approach, and 8 cases (5%) were converted to open surgery. Overall, 20 complications (5%) were reported (liver bleeding, trocar port bleeding, bile collection, postoperative ileus, wound infection, serosa tears, iliac artery rupture, conversion open surgery). Eight surveys (23%) have structured assessment of educational outcomes. Telementoring was combined with simulators (n = 2) and robotics (n = 3). Twelve surveys (35%) were intercontinental. Technology satisfaction was high among 83% of surgeons.Few surveys have a structured assessment of educational outcome. Telementoring has improved impact on surgical education. Reported complication rate was 5%.
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